I saw my neurologist this morning and tried to give him a copy of Devin Starlanyl's information sheet on fibromyalgia for neurologists. His response was, "We don't deal with that here." And he handed it back to me! His office hadn't been very helpful in the past when I asked for an e-mail address to send the material to him; so today I brought in a printout. I also gave him a copy of the article about traumatic brain injury and fibromyalgia, pointing out that although I don't have traumatic brain injury, I *do* have brain damage associated with my MS, and the article may raise some worthwhile points. At least he accepted that one with seeming interest. I had to explain to him that I didn't expect him to take primary responsibility in treating my fibro. I just wanted him to be aware of it and its implications for my neurological problems and treatments. He finally agreed to take the Starlanyl piece and look it over, but I suspect he'll just toss it. This was a heckuva day. After seeing my neuro, I went to the endodontist for a root canal job. (Fortunately, she *was* interested in the Starlanyl info for dentists. I had e-mailed her a couple of pieces, and the first thing she said when we went into the office was that she had received the files. She actually thanked me and said she had the book as well. I could definitely tell. She was very gentle and gave me lots of mini-breaks to rest my body and my jaw. She provided a buckwheat pillow to support my neck and shoulders while she was working, too. Unfortunately, after working on me for almost two hours, she found a crack in the tooth that was bad enough to require oral surgery to extract the tooth. She immediately called my dentist, and the two of them gave me a referral to an oral surgeon in the same building as the endodontist. She even got me an emergency consult right away. I could have had the extraction done right away under local anasthetic (I was still numb from the endodontal work), but I had some muscle spasms when I first got the anastethic today (which the endodontist also was very careful to work with me on). Between the potential for fibro pain, the myoclonic jerks I'd had earlier and being just plain tired, I decided to have the procedure under a general anasthetic. (Well, I guess it's not a full general. I understand it puts you into sort of a twilight sleep.) That's now scheduled for Jan. 23. Then, after four to six weeks, I get more dental work--either an implant or a bridge to replace the extracted tooth. The oral surgeon, like the endodontist, was interested in reading about the fibro aspects of dental work. I wish I could go to another neuro, but my doctor is the head of the department, and I got this attitude from my previous Kaiser neurologist, too. It's as if they're not treating a person. They're treating a disease, and if your problem isn't related to that disease, they don't want to hear about it. I did learn one thing. My elevated liver enzymes *might* be the result on the Avonex I'm taking for MS instead of the Tylenol I've been taking for pain. Unfortunately, if that's the case, it means I have to start from Square 1 with a new MS medication--or go off the medication completely and just pray the MS doesn't eat away at my brain too much. I guess the silver lining is that would mean I still could take Tylenol for pain instead of needing aspirin or other NSAIDs, which aggravate my GERD. On a positive note, so far I'm not in much pain (if any) from the endodontal work she did today. I'm just trying to figure out how to cope with the pain in my right shoulder, upper arm, elbow, wrist and thumb. My primary care doctor diagnosed rotator-cuff tendinitis (bursitis), but I really don't think that's what's wrong. I looked at the first edition of Devin Starlanyl's book, and it appears that my pain is in a trigger-point referral area, but I don't have the ropy bands that characterize CMP trigger points. May Heaven save us all from self-important doctors who think they have nothing to learn from their patients! --Laura R.M.